Geriatric patient profile in the cardiovascular surgery intensive care unit
Esra Akin Korhan1, Gulendam Hakverdioglu2, Maryem Ozlem3
1Harkverdioglu Yont, Sifa University, Izmir, Turkey. akinesra80@hotmail.com
Insights
Elderly patients in cardiovascular surgery intensive care units have low mortality rates and good prognoses. This study analyzed hospitalization durations and outcomes for older patients undergoing cardiac surgery.
Area of Science:
- Cardiology
- Intensive Care Medicine
- Geriatrics
Background:
- Elderly patients represent a growing demographic undergoing cardiac surgery.
- Assessing outcomes in this population is crucial for optimizing care.
- Cardiovascular Surgery Intensive Care Units (CSICUs) manage complex post-operative patients.
Purpose of the Study:
- To determine hospitalization durations and mortality rates for elderly patients admitted to a CSICU.
- To compare outcomes between different age groups of elderly patients (65-74 and 75+ years).
Main Methods:
- Retrospective analysis of 255 patient records from a Turkish CSICU between January 1 and December 31, 2011.
- Patients were categorized into two groups: 65-74 years (Group I) and 75+ years (Group II).
- European Society for Cardiac Operative Risk Evaluation (EuroSCORE) was compared between groups using SPSS 17.
Main Results:
- The average intensive care unit hospitalization duration was 11.57 days.
- Coronary artery disease was the most common diagnosis for both groups.
- Overall mortality was low (4.1% of those with mortal courses), with most patients discharged or transferred.
Conclusions:
- General mortality rates in this CSICU are very low for elderly patients.
- Elderly patients undergoing cardiac surgery in this unit demonstrate a good prognosis.
- Further research may explore specific interventions to further improve outcomes.
Objectives:
To determine hospitalization durations and mortalities of elderly in the Cardiovascular Surgery Intensive Care Unit.
Methods:
The retrospective study was conducted in a Cardiovascular Surgery Intensive Care Unit in Turkey and comprised patient records from January 1 to December 31, 2011. Computerized epicrisis reports of 255, who had undergone a cardiac surgery were collected. The patients were grouped according to their ages, Group I aged 65-74 and Group II aged 75 and older. European society for Cardiac Operative Risk Evaluation scores of the two groups were compared using SPSS 17.
Results:
Overall, there were 80 (31.37%) females and 175 (68.62%) males. There were 138 (54.1%) patients in Group I and 117 (45.9%) in Group II. Regarding their hospitalization reasons, it was determined that 70 (27.5%) patients in Group I and 79 (30.9%) patients in Group II were treated with the diagnosis ofcoronary artery disease. The average hospitalization duration of patients in the intensive care unit was determined to be 11.57 +/- 0.40 days. Regarding the EuroSCORE score intervals of patients, 132 (51.8%) had 3-5 and 225 (88.2%) patients were transferred to the Cardiovascular Surgery and then all of them were discharged; 5 (4.1%) had a mortal course; and 11 (7.7%) were transferred to the anaesthesia intensive care unit.
Conclusions:
The general mortality rates are very low in the Cardiovascular Surgery Intensive Care Unit and the patients have a good prognosis.
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